APPLICATION FOR PUBLIC LIBRARIAN CERTIFICATION

STATE OF NORTH CAROLINA
PUBLIC LIBRARIAN CERTIFICATION COMMISSION

Roy Cooper, Governor
Michelle Underhill, State Librarian of North Carolina
Brian Hart, North Carolina Public Librarian Certification Commission Chair

First Name *

Initial

Last Name *

Last name as it appears on your transcript, if different

Mailing Address *

City *

State *

Zip Code *

Telephone (H)

Telephone (W)

Telephone (M)

Email *

GRADUATE EDUCATION IN LIBRARY SCIENCE

Institution *

Degree *

Date Awarded *

Military servicemen and servicewomen as well as military spouse applicants are required to submit extra documents along with the application. If possible, please provide:

-Resume or description of library work experience

-Official transcript

-Public librarian certification documentation from another state.

These documents can be uploaded directly to this form below.

	Check the boxes below if you have served in the military, are a military spouse, or both.
Military Service	Check the boxes below if you have served in the military, are a military spouse, or both.
Military Spouse	Check the boxes below if you have served in the military, are a military spouse, or both.

COMPETENCIES CHECKLIST

North Carolina Administrative Code, Chapter 2, Subchapter 2J, Section .0102(b) requires that applicants for certification hold a master's degree in library science from an ALA accredited program or from a regionally accredited program of higher education in North Carolina and have completed coursework that addresses the following competencies: Cataloging, Reference, Collection Development, and Library Management.

* certificate courses, continuing education seminars, and field experiences will not be considered for certification.

Course Competency Requirements

Please list applicable courses below that correspond to the competency fulfilled.

Required Courses: *

	Course Number	Course Title
CATALOGING	Course Number	Course Title
REFERENCE	Course Number	Course Title
COLLECTION DEVELOPMENT	Course Number	Course Title
LIBRARY MANAGEMENT	Course Number	Course Title

Additional Courses:

	COMPETENCY	COURSE NUMBER	COURSE TITLE
_	COMPETENCY	COURSE NUMBER	COURSE TITLE
_	COMPETENCY	COURSE NUMBER	COURSE TITLE

Transcript and Certificate Information

Have official transcript(s) of Library Science courses sent by institution or transcript clearinghouse to:

NC.Certification.Commission@dncr.nc.gov
(electronic transcripts preferred)

-OR-

Public Librarian Certification Commission
c/o Library Development Section, Division of State Library
Department of Cultural Resources
4640 Mail Service Center
Raleigh, NC 27699-4640

*Transcripts submitted by applicants will not be considered official. Transcripts must be received via email or mail from the institution or transcript clearinghouse.

Please upload any supporting materials such as course syllabi, course descriptions, resumes, military identification documentation, or prior public librarian certificates here.

Important Notice Regarding Public Librarian Certification Printed and Digital Certificates

If you are granted certification, the name printed on your NC Public Librarian Certification certificate will be based on the information provided during your application process. To ensure the accuracy and integrity of academic records, we use the name as it appears in our official database at the time certification is awarded.

This procedure is designed to protect against the misuse of academic documents, avoid identity confusion, and help prevent fraudulent use of records. Please review the information submitted with your application carefully to ensure it is correct.

Please allow up to 2 weeks after the date of the NC Public Librarian Certification Commission meeting to be notified with the decision regarding your application.